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Arizona rates for HCPCS L0113

Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $204.17 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $234.42 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $199.53 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $229.09